TAHOE CARSON VALLEY MEDICAL GROUP INC – NPI #1508865528
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
TAHOE CARSON VALLEY MEDICAL GROUP INC is a provider located in SOUTH LAKE TAHOE, CA. NPPES has assigned the NPI number 1508865528 to TAHOE CARSON VALLEY MEDICAL GROUP INC on July 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 3 years ago on Jun 12, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAHOE CARSON VALLEY MEDICAL GROUP INC below.
NPI Profile for
TAHOE CARSON VALLEY MEDICAL GROUP INC
(about 21 years ago)
SOUTH LAKE TAHOE, CA 96150 Phone: (530) 541-3420 Fax: (530) 541-8723
PRESIDENT
Phone: (775) 589-8916
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for TAHOE CARSON VALLEY MEDICAL GROUP INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE SHIELD OF CA | CA | USA292970 |
| other | BLUE SHIELD OF CA | CA | USA292950 |
| other | BLUE SHIELD OF CA | CA | USA292960 |
| other | BLUE SHIELD OF CA | CA | USA293250 |
| other | BLUE SHIELD OF CA | CA | USA293170 |
| other | BLUE SHIELD OF CA | CA | ZZZ14014Z |
| other | BLUE SHIELD OF CA | CA | ZZZ61294Z |
| other | BLUE SHIELD OF CA | CA | ZZZ54133Z |
| other | BLUE SHIELD OF CA | CA | ZZZ65882Z |
| medicaid | CA | GR0055023 | |
| medicaid | CA | GR0055020 | |
| medicaid | CA | XGG007610 | |
| medicaid | CA | XGG007612 | |
| medicaid | CA | 100506911 | |
| medicaid | CA | GR0055021 | |
| medicaid | CA | GR0055022 | |
| medicaid | CA | XGG007611 | |
| medicaid | NV | 100506149 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
||
| 208M00000X - Hospitalist |
||
| 208800000X - Urology |
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| 208600000X - Surgery |
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| 2084P0800X - Psychiatry & Neurology / Psychiatry |
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| 208000000X - Pediatrics |
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| 207Y00000X - Otolaryngology |
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| 207V00000X - Obstetrics & Gynecology |
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| 207RR0500X - Internal Medicine / Rheumatology |
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| 207RC0000X - Internal Medicine / Cardiovascular Disease |
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| 207R00000X - Internal Medicine |
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| 207P00000X - Emergency Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.